Senior Dental Network Discount Strategist - Remote

CVS Health; Baltimore (MD); Remote; USD 47,000 - 122,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking a Senior Analyst to optimize PPO discounts across Aetna Dental's national provider network. The role emphasizes analyzing reimbursement structures, negotiating fee schedules, and aligning network strategies with financial goals.

The position requires strong data analysis, market insight, and stakeholder management, with remote, primarily virtual work and some travel. Candidates should have extensive experience in dental networks and provider contracting.

Qualifications

• 3+ years in provider network management or related field.
• Strong analytical and problem-solving skills with complex data.
• Proven negotiation, influencing and relationship-building abilities.
• Experience with claims or reimbursement data.
• 5+ years in the dental industry with PPO/Medicare knowledge.
• Knowledge of provider contracting and fee schedules.

Responsibilities

• Analyze provider reimbursement arrangements, claims data, and network performance metrics to identify opportunities for PPO discount improvement.
• Lead provider fee schedule negotiations and network optimization initiatives.
• Evaluate market conditions and provider-specific factors to develop contracting strategies.
• Assess the financial and operational impact of reimbursement changes.
• Collaborate with network management, contracting, analytics, provider relations, and product teams.
• Build relationships with dental providers to facilitate negotiations.
• Present data-driven recommendations and business cases to leadership.

Skills

Analytical skills

Negotiation

Data analysis

Relationship management

Healthcare reimbursement

Dental network knowledge

Market understanding

Tools

Claims data tools

Data visualization tools

Job description

CVS Health is seeking a Senior Analyst to optimize PPO discounts across Aetna Dental's national provider network. The role emphasizes analyzing reimbursement structures, negotiating fee schedules, and aligning network strategies with financial goals.

The position requires strong data analysis, market insight, and stakeholder management, with remote, primarily virtual work and some travel. Candidates should have extensive experience in dental networks and provider contracting.